Given the data on music's potential ability to positively influence surgical experiences, we believe that music as an auxiliary method of anxiety and pain management in first trimester abortion warrants further investigation. The proposed study will evaluate music's impact on anxiety and pain experienced during first trimester abortion performed with local anesthesia and how this might influence overall satisfaction experienced with the procedure. Given that 50% of women who had abortions in 2005 were less than 25 years old (Gamble, 2008) and that this younger age group likely has increased familiarity with portable digital music players, this patient population may benefit from music as an auxiliary analgesic and anxiolytic during pregnancy termination. This research has the potential to expand the arsenal of low-cost, safe, and effective analgesics and anxiolytics available for surgical abortion, a commonly performed procedure across the United States and worldwide. The addition of music to first trimester abortion under local anesthesia provides an opportunity to improve the pain and anxiety associated with this procedure, especially given that many women of reproductive age utilize personal digital music players and may welcome this auxiliary analgesic and anxiolytic to their experience.